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General NPI Number Information
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NPI Number | 1861792152
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Entity Type | Individual
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Provider Name | MELANIE A MILLER MSPT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 3901 S LAMAR BLVD STE 140
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City | AUSTIN
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State | TX
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Zip | 78704-7989
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Country | US
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Telephone | 512-462-3275
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Fax | 512-462-0005
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Provider Business Mailing Address
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Address Line | 3827 SENDERO DR
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City | AUSTIN
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State | TX
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Zip | 78735-6387
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Country | US
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Telephone | 512-358-7705
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1127140
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License Number State | TX
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